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<br />OWNER
<br />
<br />APPLICATION FOR PERMIT
<br />CITY OF ZEPHYRHILLS
<br />BUILDING DEPARTMENT
<br />
<br />
<br />. I J:V /Yl'/1/fLJ
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<br />1;:// J,~ ,S91, ~~r),IA'
<br />f5 / 'kl/ (:- /La. 'I "
<br />? -I? //,.... h / '
<br />JOB LOCATION ,";:;/ .../.~ / r t:-/? .~ ~1"_ ~ 1,. '/1 /, LOT SIZE_X
<br />LEGAL DESCRIPTION: LOT(S) 9 t;, / BLOCK
<br />I D -- ,) t::, - 2 1-
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<br />,
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<br />APPLICANT
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<br />ADDRESS
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<br />PHONE
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<br />.-.., , '....~ c ' -} n--'
<br />;: ,5'" l- 1 U.. ("/
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<br />PARCEL 1. D, ~~
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<br />AREA SQ, FT ,
<br />SUBDIVISION ({.J r-l1~'/- tv i.lI'.J (/ /ll&/lje./L
<br />o /2 0 - GO 0 () 0 ,- O?.;J. D
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<br />WORK PROPOSED:~~ Construction ____Addition ____Alteration _Repair ____Install
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<br />_Sign/Temp,
<br />PROPOSED USE: ~gle Family
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<br />_Sign
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<br />_Move
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<br />_Demolish
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<br />_M/F
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<br />_# of Units
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<br />__M/H
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<br />_Commercial
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<br />____Indust.
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<br />_Swim. Pool
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<br />Other
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<br />_Restaurant & Health Department Approval
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<br />BUILDING SIZE:
<br />
<br />x
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<br />Square Feet,
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<br />IJlJ () S:,.(;'(
<br />\..: .
<br />
<br />Height
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<br />RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS,**
<br />COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FOR!'lS.~'*
<br />**COPY OF CONTRACT REQUIRED.
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<br />PERMITS REQUESTED
<br />
<br />_BUILDING
<br />
<br />~/ (,J
<br />$ ~,..:::> tJJJ-- Valuation of Total Construction
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<br />_ELECTRICAL
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<br />AMP Service Florida Power Corp.
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<br />v<:/
<br />_H.R.E.C,
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<br />_MECHANICAL
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<br />$
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<br />Valuation of Mechanical Installation
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<br />_PLUMBIN'G
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<br />GAS
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<br />ROOFING
<br />~~ame _Steel
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<br />SPECIALTY
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<br />TYPE OF CONSTRUCTION: _Block
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<br />_Other
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<br />FINISHED FLOOR ELEVATIONS: FT,
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<br />******************************************
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<br />nUMBER g
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<br />Signature !
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<br />CONTRACTOR SECTI.Q.ij, r,~ --
<br />Company tv ,,a. AJ f-J /'f'\ "fl'V UJI\.. . ~./<'C
<br />State Cert. or Regist. iF ov.;208-Zlj
<br />Ci ty License Regis tra t ion iF "'/
<br />****************************************** '
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<br />Company ~/.JJ1,L2,C-L.~ "?/J.,~(.
<br />State Cert, or Regist. iF ~o (;;"'/'1/
<br />City License Registration iF _ ~'te
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<br />...;.............:::::::..rZ:*71..,,:;' -~~) .
<br />
<br />7t{, State Cert, or R~t. !,~n05:lfr9.s'7
<br />rDr-- City License Registration 1F Id- S-
<br />******************************************
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<br />Signature
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<br />c' j.' / #' '/ d, /
<br />MECHANICAL, Company /Ci( 1(/(,.i'.5 /,- //Jd / T/CJ/r-;-//C/
<br />~ ~ State Cert. or Regist. !i "?/J;oO/!/Y.9,"i'i'7
<br />Signature t- ./_ ~,..."'~ City License Registration 4F _/K'
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<br />...****....** **** ****** ...**... * *_'..,.,.,.. ,".' ,.,.c......., ,C J_ J. _', J,
<br />^ ,;. .~ ,. ,~ ~. 11 l' on .,... .. .. .. .. n .. .. .. ..
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<br />OTHER
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<br />Signature
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<br />APPLICATION APPROVED BY(
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<br />PERMIT OFFICER,
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